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NPI Code Detail

MEDICARE: LACY TURLEY COMMUNITY HEALTH WOR

MEDICARE: LACY TURLEY COMMUNITY HEALTH WOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker112157OR

General Provider Information

NPI Number : 1730901174
Entity Type Code : Individual
Provider Name (Legal Business Name) : LACY TURLEY COMMUNITY HEALTH WOR
Provider Business Mailing Address
First Line : PO BOX 1538
Second Line :
City : NEWPORT
State : OR
Zip : 97365-0115
Country : US
Telephone Number : 541-574-9570
Fax Number : 541-574-8857
Provider Business Practice Location Address
First Line : PO BOX 1538
Second Line :
City : NEWPORT
State : OR
Zip : 97365-0115
Country : US
Telephone Number : 541-574-9570
Fax Number : 541-574-8857
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2024
Last Update Date : 01/07/2025

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Directions to “ LACY TURLEY COMMUNITY HEALTH WOR” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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